Culture, Fungus, Not Hair, Skin, Nails

Test Code
37960


CPT Codes
87102

Includes
If culture is positive, ID will be performed at an additional charge for each organism. In the event of an initial ID of Coccidioides, Histoplasma, or Blastomyces, the following additional ID methods will be performed at an additional charge: Coccidioides DNA Probe; Histoplasma DNA Probe; Blastomyces DNA Probe.
If an additional ID method is required, ITS nucleic acid sequencing may be added at an additional charge. Susc. will be added upon request. Possible add-ons: 90272,92265,90273,92267,92268.


Preferred Specimen
3 mL or 3 grams body fluids, CSF, and eye fluid (vitreous) specimens in a sterile, leak proof container.
Ear, oral, throat, nose, nasopharyngeal, wound or genital specimen collected by swab and transported in a liquid or gel transport medium.
Ocular specimens collected in a sterile, leak-proof container, or transport swabs in liquid or gel transport medium.
Sputum, bronchoalveolar lavage (BAL) fluid, brushing, washing or aspirate collected in any sterile leak-proof container. Tissue or biopsy specimen submitted in a sterile, leak proof container.
First morning, clean catch midstream urine catheter collected, surgically collected urine, or after prostatic massage.


Minimum Volume

1 mL or 1 gram



Other Acceptable Specimens
Any body fluid or specimens collected by swabs, ocular scrapings placed directly onto media and a clean microscope slide; any respiratory sample, any tissue sample


Instructions
Sterile container. Add a small amount of saline to biopsy and soft tissue specimens. Transport swabs in liquid or gel transport medium. Corneal specimens may be directly inoculated onto media, sealed tightly and submitted at room temperature.


Transport Temperature
Refrigerated (cold-packs)


Specimen Stability
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Whole blood • Skin • Hair • Nails • Stool • Received frozen • Specimen in formalin • Serum


Methodology
Culture

Setup Schedule
Set-up: Daily


Clinical Significance
Fungi can infect the cerebral spinal fluid, other body fluids, and tissues. Infections occur more commonly among patients who are immunocompromised. Early diagnosis and effective treatment can reduce the likelihood of severe sequalae.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.